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Related Experiment Videos

Sacral neuromodulation and pregnancy.

O J Wiseman1, U v d Hombergh, E L Koldewijn

  • 1Department of Uro-Neurology, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.

The Journal of Urology
|December 18, 2001
PubMed
Summary
This summary is machine-generated.

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Sacral neuromodulation (SNM) device deactivation is recommended during pregnancy. Reactivation may be considered if urinary complications arise, and cesarean delivery is advised to prevent lead damage.

Area of Science:

  • Urology
  • Obstetrics
  • Neuromodulation

Background:

  • Sacral neuromodulation (SNM) effectively treats lower urinary tract dysfunction.
  • The safety and effects of SNM during pregnancy and on fetal development are largely unknown.
  • A significant proportion of patients receiving SNM are women of childbearing age.

Observation:

  • This study reviewed 6 pregnant patients with existing SNM devices.
  • Data included urological history, SNM indication, pregnancy course, delivery method, and neonatal outcomes.
  • Implant deactivation timing and reactivation were also recorded.

Findings:

  • In 5 patients, SNM was deactivated between weeks 3-9 of gestation; 2 experienced urinary tract infections.
  • One pregnancy resulted in premature birth at 34 weeks, the only noted complication.

Related Experiment Videos

  • All 6 neonates were healthy; 3 deliveries were vaginal, and 3 were cesarean sections.

    • Implications:

    • Deactivating SNM is generally recommended upon pregnancy confirmation.
    • Reactivation of SNM may be necessary if urinary complications threaten the pregnancy.
    • Cesarean delivery should be considered to mitigate risks of sacral lead damage during vaginal birth.